{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:44:07Z","timestamp":1785545047781,"version":"3.56.0"},"reference-count":35,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Dermatol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec sec-type=\"background\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Chronic dermatologic conditions such as psoriasis, atopic dermatitis, and hidradenitis suppurativa are associated with a high burden of psychiatric comorbidities, including depression, anxiety, and suicidality. Despite growing awareness of the psychosocial impact of skin diseases, mental health needs remain underaddressed in dermatologic care. Digital technologies (including teledermatology, mobile health apps, and internet-delivered psychotherapies) offer promising avenues for integrating psychotherapeutic and psychiatric interventions into dermatology. However, the scope, effectiveness, and implementation of such informatics-based approaches remain poorly mapped in the literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"objective\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This scoping review aimed to systematically identify, categorize, and synthesize studies on digital psychotherapeutic and psychiatric interventions targeting patients with dermatological conditions, with a focus on clinical, mental health, and implementation outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Following the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines, we conducted a comprehensive search across 5 databases (MEDLINE, Embase, Web of Science, PsycINFO, and Google Scholar) for articles published up to March 2025. Studies were included if they involved patients with dermatologic conditions and assessed interventions that combined a digital informatics component (eg, telehealth, apps, artificial intelligence, virtual platforms) with a psychotherapeutic or psychiatric element (eg, cognitive behavioral therapy [CBT], mindfulness, consult-liaison psychiatry). Eligible study designs included clinical trials, observational studies, and mixed methods research. Data were extracted systematically, and methodological quality was assessed using JBI tools.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Out of 15,176 records identified, 11 studies met the inclusion criteria. Most interventions targeted psoriasis (9\/11) and used asynchronous digital platforms such as internet-based CBT and mobile apps. Across studies, dropout rates ranged from 10% to 76%. Improvements in dermatologic quality of life were reported in 6 of 11 studies, with statistically significant reductions in depression and anxiety observed in multiple trials (eg, internet-based CBT and mindfulness-based interventions), alongside reductions in psoriasis severity (Psoriasis Area and Severity Index) and itch intensity in randomized controlled trials. Intervention duration ranged from single-session virtual reality exposure to 8\u2010 to 12-week structured programs. However, long-term outcomes beyond 3 to 12 months were rarely assessed, and reporting of sociodemographic variables and equity-related factors was limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Informatics-based psychotherapeutic and psychiatric interventions represent a promising frontier in psychodermatology, with early evidence suggesting feasibility and potential clinical benefit. Digital platforms may expand access to mental health support and improve holistic care for patients with dermatologic conditions. However, significant gaps remain in terms of equity, long-term effectiveness, integration into clinical workflows, and adaptation for diverse populations. Future research should focus on rigorous, inclusive trials and the development of hybrid models that blend digital and face-to-face care to ensure sustainable and equitable impact.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/82096","type":"journal-article","created":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T17:15:07Z","timestamp":1779729307000},"page":"e82096-e82096","source":"Crossref","is-referenced-by-count":0,"title":["Informatics-Based Psychotherapeutic and Psychiatric Interventions in Dermatology: Scoping Review of Impacts on Skin Disease Severity and Mental Health Outcomes"],"prefix":"10.2196","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-0941-5405","authenticated-orcid":false,"given":"Caroline","family":"Lamarre","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8447-1464","authenticated-orcid":false,"given":"Jeffrey","family":"Chivinski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4868-0928","authenticated-orcid":false,"given":"Alexandre","family":"Hudon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2026,6,10]]},"reference":[{"issue":"4","key":"R1","doi-asserted-by":"publisher","first-page":"984","DOI":"10.1038\/jid.2014.530","article-title":"The psychological burden of skin diseases: a cross-sectional multicenter study among dermatological out-patients in 13 European countries","volume":"135","author":"Dalgard","journal-title":"J Invest Dermatol"},{"issue":"1","key":"R2","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-023-02948-x","article-title":"Common mental health disorders in adults with inflammatory skin conditions: nationwide population\u2013based matched cohort studies in the UK","volume":"21","author":"Henderson","journal-title":"BMC Med"},{"issue":"1","key":"R3","doi-asserted-by":"publisher","DOI":"10.3390\/life13010189","article-title":"Hidradenitis suppurativa burdens on mental health: a literature review of associated psychiatric disorders and their pathogenesis","volume":"13","author":"Caccavale","journal-title":"Life (Basel)"},{"issue":"8","key":"R4","doi-asserted-by":"publisher","first-page":"e623","DOI":"10.1111\/jdv.18016","article-title":"Perceived stress in four inflammatory skin diseases: an analysis of data taken from 7273 adult subjects with acne, atopic dermatitis, psoriasis or hidradenitis suppurativa","volume":"36","author":"Misery","journal-title":"J Eur Acad Dermatol Venereol"},{"issue":"8","key":"R5","doi-asserted-by":"publisher","first-page":"1162","DOI":"10.1111\/jdv.18278","article-title":"\u201cPsychodermatology\u201d: the present standing and a path forward","volume":"36","author":"Mostaghimi","journal-title":"J Eur Acad Dermatol Venereol"},{"issue":"1","key":"R6","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1016\/j.clindermatol.2023.03.006","article-title":"Psychiatric and psychologic aspects of chronic skin diseases","volume":"41","author":"Christensen","journal-title":"Clin Dermatol"},{"issue":"1","key":"R7","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-024-02655-5","article-title":"Teledermatology: an evidence map of systematic reviews","volume":"13","author":"Chow","journal-title":"Syst Rev"},{"issue":"3","key":"R8","doi-asserted-by":"publisher","first-page":"170","DOI":"10.1111\/ajd.12297","article-title":"A prospective study on the use of teledermatology in psychiatric patients with chronic skin diseases","volume":"56","author":"Seghers","journal-title":"Australas J Dermatol"},{"issue":"5","key":"R9","doi-asserted-by":"publisher","first-page":"371","DOI":"10.4103\/ijd.IJD_422_20","article-title":"Use of mobile applications in dermatology","volume":"65","author":"Kaliyadan","journal-title":"Indian J Dermatol"},{"issue":"7","key":"R10","doi-asserted-by":"publisher","first-page":"1787","DOI":"10.1007\/s13555-024-01213-0","article-title":"A systematic review and meta-analysis of mobile health applications and telemonitoring in atopic dermatitis self-management","volume":"14","author":"Cherrez-Ojeda","journal-title":"Dermatol Ther (Heidelb)"},{"issue":"21","key":"R11","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph192114527","article-title":"When virtual assistants meet teledermatology: validation of a virtual assistant to improve the quality of life of psoriatic patients","volume":"19","author":"Roca","journal-title":"Int J Environ Res Public Health"},{"issue":"2","key":"R12","doi-asserted-by":"publisher","first-page":"183","DOI":"10.1001\/jamadermatol.2024.5044","article-title":"Self-guided vs clinician-guided online cognitive behavioral therapy for atopic dermatitis: a randomized clinical trial","volume":"161","author":"Kern","journal-title":"JAMA Dermatol"},{"issue":"12","key":"R13","doi-asserted-by":"publisher","first-page":"1416","DOI":"10.1089\/tmj.2020.0500","article-title":"Implementation of mobile teledermatology: challenges and opportunities","volume":"27","author":"Peracca","journal-title":"Telemed J E Health"},{"issue":"4","key":"R14","doi-asserted-by":"publisher","first-page":"353","DOI":"10.1007\/s13671-020-00323-0","article-title":"A framework-driven systematic review of the barriers and facilitators to teledermatology implementation","volume":"9","author":"Dovigi","journal-title":"Curr Dermatol Rep"},{"issue":"5","key":"R15","doi-asserted-by":"publisher","first-page":"1582","DOI":"10.1111\/hex.13229","article-title":"Barriers and facilitators to mobile health and active surveillance use among older adults with skin disease","volume":"24","author":"Johnson","journal-title":"Health Expect"},{"issue":"2","key":"R16","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1007\/s13671-021-00329-2","article-title":"Teledermatology addressing disparities in health care access: a review","volume":"10","author":"Maddukuri","journal-title":"Curr Dermatol Rep"},{"issue":"1","key":"R17","doi-asserted-by":"publisher","DOI":"10.2196\/21555","article-title":"Patient factors associated with interest in teledermatology: cross-sectional survey","volume":"4","author":"Ghani","journal-title":"JMIR Dermatol"},{"issue":"7","key":"R18","doi-asserted-by":"publisher","first-page":"467","DOI":"10.7326\/M18-0850","article-title":"PRISMA extension for Scoping Reviews (PRISMA-ScR): checklist and explanation","volume":"169","author":"Tricco","journal-title":"Ann Intern Med"},{"issue":"10","key":"R19","doi-asserted-by":"publisher","first-page":"2127","DOI":"10.11124\/JBISRIR-D-19-00099","article-title":"Methodological quality of case series studies: an introduction to the JBI critical appraisal tool","volume":"18","author":"Munn","journal-title":"JBI Evid Synth"},{"issue":"5","key":"R20","doi-asserted-by":"publisher","first-page":"297","DOI":"10.1159\/000447267","article-title":"Tailored therapist-guided internet-based cognitive behavioral treatment for psoriasis: a randomized controlled trial","volume":"85","author":"van Beugen","journal-title":"Psychother Psychosom"},{"issue":"7","key":"R21","doi-asserted-by":"publisher","first-page":"796","DOI":"10.1001\/jamadermatol.2021.1450","article-title":"Internet-delivered cognitive behavior therapy for atopic dermatitis: a randomized clinical trial","volume":"157","author":"Hedman-Lagerl\u00f6f","journal-title":"JAMA Dermatol"},{"key":"R22","doi-asserted-by":"publisher","DOI":"10.2196\/42360","article-title":"A digital self-help intervention for atopic dermatitis: analysis of secondary outcomes from a feasibility study","volume":"6","author":"Kern","journal-title":"JMIR Dermatol"},{"issue":"2","key":"R23","doi-asserted-by":"publisher","DOI":"10.1002\/ski2.103","article-title":"A digital therapeutic for management of psychosocial aspects of psoriasis: a pre-post proof of concept study","volume":"2","author":"Fortune","journal-title":"Skin Health Dis"},{"issue":"10","key":"R24","doi-asserted-by":"publisher","DOI":"10.2196\/28149","article-title":"Impact of an eHealth smartphone app on the mental health of patients with psoriasis: prospective randomized controlled intervention study","volume":"9","author":"Domogalla","journal-title":"JMIR mHealth uHealth"},{"issue":"6","key":"R25","doi-asserted-by":"publisher","first-page":"955","DOI":"10.1111\/bjd.21020","article-title":"A randomized controlled feasibility trial of online compassion-focused self-help for psoriasis","volume":"186","author":"Muftin","journal-title":"Br J Dermatol"},{"issue":"1","key":"R26","doi-asserted-by":"publisher","DOI":"10.1186\/s40814-024-01486-4","article-title":"Online compassion-based self-help for depression in people with skin conditions: a feasibility study","volume":"10","author":"Clarke","journal-title":"Pilot Feasibility Stud"},{"issue":"1","key":"R27","doi-asserted-by":"publisher","first-page":"71","DOI":"10.25259\/IJDVL_451_2023","article-title":"Mindful self-compassion for psychological distress associated with skin conditions: an online intervention study","volume":"91","author":"Sengupta","journal-title":"Indian J Dermatol Venereol Leprol"},{"key":"R28","doi-asserted-by":"crossref","unstructured":"Zhou Y Zhao Y Li Y et al. Online mindfulness-based cognitive therapy as a treatment for patients with psoriasis: a randomized controlled trial. SSRN. Preprint posted online on Aug 30, 2024. [doi: 10.2139\/ssrn.4940246]","DOI":"10.2139\/ssrn.4940246"},{"issue":"4","key":"R29","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1155\/2009\/178751","article-title":"Effects of virtual reality immersion and audiovisual distraction techniques for patients with pruritus","volume":"14","author":"Leibovici","journal-title":"Pain Res Manag"},{"issue":"5","key":"R30","doi-asserted-by":"publisher","first-page":"607","DOI":"10.1007\/s40257-019-00437-7","article-title":"Psychological therapies in management of psoriatic skin disease: a systematic review","volume":"20","author":"Qureshi","journal-title":"Am J Clin Dermatol"},{"key":"R31","doi-asserted-by":"publisher","DOI":"10.2147\/PRBM.S195181","article-title":"The efficacy of psychological interventions on psoriasis treatment: a systematic review and meta-analysis of randomized controlled trials","volume":"12","author":"Xiao","journal-title":"Psychol Res Behav Manag"},{"issue":"3","key":"R32","doi-asserted-by":"publisher","first-page":"288","DOI":"10.1002\/wps.20151","article-title":"Guided internet-based vs. face-to-face cognitive behavior therapy for psychiatric and somatic disorders: a systematic review and meta-analysis","volume":"13","author":"Andersson","journal-title":"World Psychiatry"},{"issue":"4","key":"R33","doi-asserted-by":"publisher","first-page":"329","DOI":"10.1016\/j.cpr.2012.02.004","article-title":"Computer-based psychological treatments for depression: a systematic review and meta-analysis","volume":"32","author":"Richards","journal-title":"Clin Psychol Rev"},{"issue":"4","key":"R34","doi-asserted-by":"publisher","first-page":"455","DOI":"10.1111\/jcpp.12937","article-title":"Annual research review: expanding mental health services through novel models of intervention delivery","volume":"60","author":"Kazdin","journal-title":"J Child Psychol Psychiatry"},{"key":"R35","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2022.1024879","article-title":"A mixed methods systematic review of digital interventions to support the psychological health and well-being of people living with dermatological conditions","volume":"9","author":"Hewitt","journal-title":"Front Med (Lausanne)"}],"container-title":["JMIR Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/derma.jmir.org\/2026\/1\/e82096","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T22:26:23Z","timestamp":1785536783000},"score":1,"resource":{"primary":{"URL":"https:\/\/derma.jmir.org\/2026\/1\/e82096"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,10]]},"references-count":35,"URL":"https:\/\/doi.org\/10.2196\/82096","relation":{},"ISSN":["2562-0959"],"issn-type":[{"value":"2562-0959","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,10]]},"article-number":"v9i4e82096"}}